H4HC | Current Issues

The #H4HC Movement

Each year, state and federal governments propose new policies and legislation that affect the home health care industry along with in-home caregivers and clients they care for. H4HC is dedicated to developing positive and innovative reforms to help improve the access, quality, and effectiveness of home health care for our nation’s most vulnerable populations.

Current Federal Issues

Home Health

The proposed cuts implemented by CMS threaten access to home healthcare services, especially in rural and hard-to-reach communities. Tell CMS to Stop Additional Cuts to Home Health in 2024.

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Hospice

Advocate for Centers for Medicare and Medicaid Services (CMS) to define and include community-based palliative care reimbursement as concurrent care with hospice services.

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Current State Issues

Select a state to learn how the H4HC movement is taking action.

Delaware

Ensure Delaware’s Medically Fragile Receive
the Urgent Home Care They Need

Support Delaware’s medically fragile children and adults. Increase private duty nursing Medicaid rates 5%1—RNs to $66.95/hr and LPNs to $59.98/hr. Increase home care personal care worker Medicaid rates 23%2-$27.85/hr to $34.31/hr.

Georgia

Low Nursing Rates Risk Children’s Safety and Health

Georgia families rely on home care to receive the high-quality nursing care they need to keep their children at home and out of costlier institutional settings.

Unfortunately, long-term underinvestment in the nursing Medicaid reimbursement rates are preventing providers from recruiting and retaining nurses, resulting in access-to-care issues and putting medically fragile children’s health at risk.

North Carolina

Many seniors and people living with disabilities are in danger of losing access to care due to lack of staff. With record inflation and a rapidly constricting workforce pipeline, aides are being driven out of the industry in record numbers
for better paying jobs.

Due to low Medicaid reimbursement rates, home care agencies can’t compete with other health care providers for qualified nurses.

South Carolina

Low In-Home Medicaid Nursing and Personal Care Rates Risk Patient Health and Result in Higher Costs to the State

South Carolina In-Home Care Providers cannot compete to attract and retain qualified nurses and personal care aides, resulting in higher healthcare costs and access to care barriers for over 40,000 vulnerable seniors and medically fragile children and adults. Investing $30.5M for home and community based services as requested by the Department of Health and Human Services (HHS)1 will allow in-home care providers to compete for qualified healthcare professionals.

Florida

Low Nursing Rates Risk Patient Safety and Health

Florida home care private duty nursing (PDN) providers have not had a Medicaid rate increase in 28 years. This, coupled with the on-going workforce crisis, has created an environment where providers cannot compete to attract and retain highly qualified nurses, resulting in access to care issues for medically fragile adults, children, and their families throughout the state.